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A chest radiograph, chest X-ray (CXR), or chest film is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are the most common film taken in medicine.
Chest x-ray is the first test done to confirm an excess of pleural fluid. The lateral upright chest x-ray should be examined when a pleural effusion is suspected. In an upright x-ray, 75 mL of fluid blunts the posterior costophrenic angle. Blunting of the lateral costophrenic angle usually requires about 175 mL but may take as much as 500 mL.
Recognized effects of higher acute radiation doses are described in more detail in the article on radiation poisoning.Although the International System of Units (SI) defines the sievert (Sv) as the unit of radiation dose equivalent, chronic radiation levels and standards are still often given in units of millirems (mrem), where 1 mrem equals 1/1,000 of a rem and 1 rem equals 0.01 Sv.
A normal Haller index should be about 2.5. Chest wall deformities such as pectus excavatum can cause the sternum to invert, thus increasing the index. [6] [7] In severe asymmetric cases, where the sternum dips below the level of the vertebra, the index can be a negative value. [8]
Pneumonia as seen on chest X-ray. A: Normal chest X-ray. B: Abnormal chest X-ray with consolidation from pneumonia in the right lung, middle or inferior lobe (white area, left side of image). Specialty: Pulmonology
Number of chest X-rays resulting in same effective dose Skull radiography (X-ray) 0.015 1 Chest X-ray 0.013 1 Lumbar spine X-ray 0.44 30 Abdomen X-ray 0.46 35 Pelvis X-ray 0.48 35 Screening mammography (4 views) 0.2 15 Dental X-ray (intraoral) 0.013 1 Diagnostic fluoroscopy: barium swallow 1 70 Cardiac angiography 7 500 Head CT 2 150 Chest CT 10
However, lesions may appear anywhere in the lungs. In HIV and other immunosuppressed persons, any abnormality may indicate TB or the chest X-ray may even appear entirely normal. [1] Old healed tuberculosis usually presents as pulmonary nodules in the hilar area or upper lobes, with or without fibrotic scars and volume loss. [1]
A chest X-ray is the most common technique used to diagnosis a hemothorax. [23] X-rays should ideally be taken in an upright position (an erect chest X-ray), but may be performed with the person lying on their back (supine) if an erect chest X-ray is not feasible.